Who must choose a health plan?

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Who must choose a health plan?

Most people in NC Medicaid must choose a health plan in the NC Medicaid Managed Care program. Some people can choose to stay in NC Medicaid Direct. They will not need to choose a plan. NC Medicaid Managed Care will send you a letter that tells you if you must enroll. To find out now, call us at 1-833-870-5500 (TTY: 1-833-870-5588). The call is free. Or use the chat tool to chat with us online. To learn more about NC Medicaid Managed Care, go to Get answers.

Who may not have to choose a health plan?

You may not have to choose a health plan if you:

  • Are a member of a federally recognized tribe
  • Need certain services to address needs related to developmental disability, mental illness, traumatic brain injury or substance use disorder

For questions, call 1-888-245-0179. To learn more about NC Medicaid Direct, go to Get answers.

Who cannot choose a health plan?

A small number of people will not need to choose a health plan because of the type of health services they need. They will stay enrolled in NC Medicaid Direct. For example, individuals who get Innovations Waiver services, Traumatic Brain Injury (TBI) Waiver services or Community Alternatives Program for Children (CAP/C) and Community Alternative Program for Disabled Adults (CAP/DA) services will stay enrolled in NC Medicaid Direct.

To learn more, call us at 1-833-870-5500 (TTY: 1-833-870-5588). The call is free. Or use the chat tool to chat with us online.